Stephen C Myers, DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

AM9710078 Issued in FL

Legal business name

STEPHEN C MYERS, DMD, PA

Practice address

10510 Hutchison Boulevard
Panama City Beach, FL 32407

Phone

(850) 234-7080

Fax

(850) 236-0249

NPI assigned

Sep 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Carlton Myers, DMD

Title

President

Phone

(850) 234-7080

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1629179031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 HUTCHISON BOULEVARD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32407",
            "telephone_number": "850-234-7080",
            "fax_number": "850-236-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 HUTCHISON BOULEVARD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32407",
            "telephone_number": "850-234-7080",
            "fax_number": "850-236-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C MYERS, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-234-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "AM9710078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.